A Time of Hope?

We all need something to give us hope. That might be the thought of a weekend lie-in to get you through the week, a successful career to provide a comfortable retirement or maybe the hope that there is a purpose and meaning to life, which you just haven’t found yet.

For many prisoners around the world there is nothing to give them any hope. They are locked away and forgotten by society. Integritas carries out a large proportion of its humanitarian and medical work within prisons and police stations in the Philippines.  A problem faced by prisoners worldwide is that of pre-trial detention and delayed sentencing. In the Philippines 75% of the prison population has not been sentenced. On average prisoners are detained for 9 months before they receive a sentence.  This leads to overcrowding of jails, making conditions even more unbearable. Prisoners may serve time in prison that far outweighs their crime. Individuals are subjected to terrible conditions with no hope of knowing when they will be released.

Integritas currently provides healthcare to detainees in the Philippines primarily by telemedicine clinics. Our team on the ground visits the prisons and co-ordinates video consultations between prisoners and our team of doctors. We are able to offer a glimmer of hope to these prisoners as we care for their medical needs and treat them with compassion and respect. This service relies on our team of both voluntary and paid staff. We also rely on funds to provide medical supplies to the prisoners, as many cannot afford to buy their own medication.

As we look ahead to Christmas, a time that offers a message of hope, we greatly require your support to continue our work. If you feel you could offer your time and skills then please get in touch. Financial donations of any amount would go a long way to provide medical care to those trapped in a hopeless system. Please join us in bringing hope this Christmas.

 Click here to donate

A Time of Plenty?

What do you think about at this time of year? Perhaps the long lists of gifts you need to buy, organising the family get together or just hunkering down and avoiding the madness.

For Christians, Christmas is when we celebrate the person of Jesus Christ coming into our world. He came and was willing to get stuck in with the painful mess of humanity. Jesus loved the unlovable. Regardless of somebody’s past He said I can help.

At Integritas, we are motivated by Jesus’ love and His example to treat our neighbour as ourselves.  We have a particular concern for the 11 million of our fellow human beings currently behind bars across the world. Many of these people are kept in terrible conditions, without adequate food or healthcare and do not know when they will next see their loved ones. Regardless of their past actions, we believe they deserve to be treated with dignity and respect.

Like many other charities, the pandemic has taken its toll on Integritas. We have lost many of our main sources of funding and this has directly impacted the work we are able to carry out. This festive season we are asking you to help us help those most in need across our world. Any donation will go a long way to provide healthcare to vulnerable men and women behind bars.

So perhaps this year, as it is for me, will be the first year you think about the world’s detainees, those forgotten and abandoned in unthinkable conditions. There is a great need and we can work together to show radical love to one another.

If you would like more details on partnering with Integritas please do get in touch. Any donation would be gratefully received and would make a huge impact on the work we are able to do.

Click here to donate.

Rehabilitation vs punishment

In recent news, Scottish judges have raised the question as to whether Scottish courts should and could be required to focus on rehabilitation when sentencing young people, rather than the primary focus being punishment.

The Sentencing Young People guideline will be submitted to the High Court for approval. Will we start to see changes in the primary purpose of sentencing?

For more information follow: https://www.bbc.co.uk/news/uk-scotland-58562272

Ecuadorian prison riot kills over 100 prisoners

On Tuesday 28th September a gang-related riot broke out in an Ecuadorian prison. Prisoners pulled firearms on each other and set off explosives in what has been called the worst gang-related violence in Ecuador’s history. It wasn’t until Wednesday 29th that officials claimed they had the prison under control again, however neighbours of the Guayas prison complex claim to have heard explosions and gunshots early Thursday morning . Ecuadorian authorities said a major operation took place on Thursday 30th to regain control using 900 officers and army soldiers at which point a death toll of 24 prisoners was reported, later rising to over 100 as police worked their way through the prison.

The attack broke out when prisoners from one wing of the prison crawled through a hole and gained access to another wing of the prison which held their rival gang members. Local media reported that the killings may have been ordered from outside the prison highlighting a power struggle between Mexican cartels currently under way in Ecuador.

If this violence had occurred outside of a prison it would not be forgotten, it would be headline news and would be classed as a tragedy. But this event did occur inside a prison, and it was not headline news.

One of the purposes of a prison is to rehabilitate people so that they can re-enter society when their sentence is finished. Events like these call into question whether some prison environments actually achieve their rehabilitative purpose.

To read the BBC article follow this link: https://www.bbc.co.uk/news/world-latin-america-58733202

Autumn CPD

This season’s continuing professional development (CPD) for healthcare professionals (HCPs) working beyond the bars comes from just two journals - the 13th November edition of the British Medical Journal and the November issue of Casebook.

Happy reading!

The Life Series: Nothing Less Will Suffice

We continue this series of a young doctor considering the health and justice interface as applied to long-term incarceration. In the first issue we considered IPP sentences. We now move on to the thorny issue of 'life means life' sentencing…

It has been almost a month now since I opened BBC News on my phone and saw the headline of former Police Constable Wayne Couzens being sentenced for the abduction, rape and murder of 33-year-old Sarah Everard. He received a whole life order. He will never be released. He will die in prison. 

I read various articles describing the tragic events of 3rd March 2021 - the violent, inexplicable acts against an innocent individual - and I wept. I wept for Sarah Everard and for what she had to suffer. She was a young woman living a life with many parallels to my own. I wept for her family, her friends and for all the other people caught up in this horrific crime. And I wept as I thought about all the other evil and injustice in our world. 

Then, out of my anger and sadness came a longing for justice. But what does justice really look like, in the face of such evil? Is a whole life prison sentence the answer? 

Whole life orders

Since the United Kingdom (UK) abolished capital punishment, a whole life order has been the most severe punishment available. It is reserved for only the most serious offences. The remarks from Mr Couzens’ sentencing hearing highlight the seriousness of whole life orders, stating they are rarely given out and should only be…

for the few exceptionally serious offences in which, after reflecting on all the features of aggravation and mitigation, the judge is satisfied that the element of just punishment and retribution requires the imposition of a whole life order. Nothing less will suffice.

(Lord Justice Fulford)

Whilst Mr Couzens’ crimes fell outside the list of offences that would normally qualify for a whole life order, Lord Justice Fulford stated that it is not a closed list and subsequently expounded on his sentencing decision. All the elements of kidnap, rape and murder were taken into account but particular emphasis was placed on Mr Couzens’ abuse of his position as a police officer. Lord Justice Fulford concluded that alongside other aggravating features, his misuse of his position and his undermining of public trust were deserving of lifelong imprisonment. 

The easy option would be to not question locking away those who kidnap, rape and murder. Such sentencing seems the obvious solution. But it is important to consider the function of imprisonment and to ask whether it truly achieves what we expect it to - the creation of a safer and fairer society.  

Public Protection

One function of imprisonment is public protection. When a violent crime is committed, we naturally want to prevent it from happening again. We can lock away those who pose a risk to society through their violence. Mr Couzens will never again drive a hire car down a South London street. By imprisoning him until he dies, we can take some comfort in knowing that he will never do to anyone else what he did to Sarah. 

There is a risk of reoffending at any age, but the risk of recidivism drops in older age - for certain types of crime at least. How do we know that Mr Couzens’ risk of reoffending will remain unacceptably high once twenty-five, thirty or forty years have passed? It also raises the question of whether lifelong imprisonment truly makes our streets safer. Coming just a couple of weeks before Mr Couzens was sentenced, the murder of yet another young female Londoner - this time 28-year-old primary school teacher Sabina Nessa - reminded us that the problem of violence against women was never going to be solved by locking away one man for the rest of his life.

What more can be done to create a safer, more just society?

Punishment

My gut response to Mr Couzens’ actions was that he must be punished and punished severely. Directly and indirectly, he has caused unthinkable harm: he inflicted sadistic, fatal harm on Sarah; and he carved agonising wounds into the hearts of her family and friends. He also damaged British society’s trust in the police. He may have pleaded guilty but so far has neither displayed regret nor expressed remorse.

In the old days he would have been in line for physically brutal punishment; as a supposedly forward-thinking, civilised society today we shudder at the thought of those historic punishments, characterised by public displays of physical violence and humiliation. Our modern-day punishments - locking people away for decades or even life - seem far more palatable. Offenders are hidden away behind heavy doors, removed from our public conscience.

But lifelong imprisonment is an immensely heavy punishment. To be deprived of your liberty and enclosed in a cell for the majority of your waking hours (often 23 hours or more per day, as he is a prisoner of notoriety and so will likely need to be segregated for his own protection) with no hope of release is a desolate place in which to be. Whilst we may not be punishing his body directly, as was once the custom, such incarceration will take its physical toll indirectly. Certainly it will be punishing his mind. And the same punishment extends its reach beyond a sentenced individual. Often there is a family left behind. Children, wives and mothers can all become branded by the same hopelessness.

Clearly Mr Couzens’ actions were unacceptable and cannot be ignored. My own initial thirst for punishment came not from a longing for justice but out of a desire for vengeance. What do we seek from his punishment? What motivates us to punish any other human being who has erred? We must ask ourselves whether a just society is ever right to condemn an individual to an unending punishment. We must protect ourselves from the tyranny of becoming cruel and vindictive, whether as individuals or collectively as a society. Regardless of what someone has done, we must treat one another humanely. To repay darkness with darkness will in no way bring healing. 

Deterrent

In addition to public protection and punishment, many view heavy sentencing as an effective deterrent to reduce further incidences of violent crime.

The relationship between sentencing length and crime rates has been long studied and there is much detailed research on the topic that is beyond the scope of these ponderings. The United States of America has 2 million people locked up - that’s a 500% increase over the course of just one generation. Whilst crime rates have fallen, it is widely agreed that this cannot be solely attributed to mass incarceration and that the increase in imprisonment plays only a small part. Similarly, UK prisoner numbers are expected to rise by 25% (that’s approximately 20,000 people) over the next five years as the government looks to pass and implement the Police, Crime, Sentencing and Courts (PCSC) Bill, which will deploy more police officers and expand the prison system.

It is most telling that this bill’s own impact assessment reveals a lack of evidence for the measures deterring offenders or reduce crime rates. The threat of punishment is not an effective deterrent.

Rehabilitation

The final role of prison is rehabilitation, helping prisoners to process their actions and to receive support as they return to society. In the USA this is referred to as ‘correction’.

A whole life order implies that a prisoner is beyond redemption or rehabilitation. The sentence says, ‘You will never be fit to return to society’. At the time of his sentencing, Mr Couzens had offered no form of apology. Some people never reach a point of rehabilitation in which they seek repentance and genuinely wish for inner change. For others it does happen - but very slowly.  A whole life sentence removes any incentive for repentance and reconciliation. Moreover, there is nothing to lose so bad behaviour in prison cannot be sanctioned much beyond the removal of privileges and intermittent stays in segregation. After all, what is worse than a whole life order? Nothing that the UK’s criminal justice system offers, that’s for sure.

To leave someone in prison for the rest of their life with no expectation of any apology or positive change seems tragically futile. To me, the impossibility of rehabilitation implies that the main focus of a whole life order is pure and simple punishment. 

We must also wrestle with the question of whether there is ever a role for forgiveness in cases of abhorrent wrongdoing. To forgive is not to forget, condone or minimise what has been done. These actions have inflicted deep wounds on a family and, to a lesser extent, wider British society. These wounds will leave permanent, painful scars. Sarah’s loved ones, and society in general, may neither be able to forgive Mr Couzens nor feel that it is appropriate to consider doing so. Yet we must be wary of the destructive nature of resentment and bitterness. In order to bring more justice and peace to this world, we must each be the caretaker of our own heart.

Could anything else suffice?

The question of whole life imprisonment is a weighty one with no easy answers. The process of reflecting upon these issues has been somewhat distressing for me, and perhaps you have found this an upsetting read. Regardless of our society’s myriad opinions on these matters, surely we can all agree that even the severest sentence imposed upon an offender can never make up for the loss of his victim’s life. That equation just will not balance.

Yes, there must be a response to injustice. No, we should not tolerate violent crime in others. Still, for ourselves, let us seek to live justly and compassionately in our day-to-day thoughts, words and deeds.

Dr Elinor Webb is one of our Health & Justice Fellows

If you have appreciated this article and would like to support our anti-torture & ill-treatment work, we welcome donations towards the Gerry Serrano Centre.

Songs of Hope

Guilt, loneliness and fear are but a few of the many emotions attached to a prison sentence. These feelings are often long-lasting and can make returning to society very challenging. The current prison system offers little hope of effective rehabilitation with overall reoffending rates of 26% between July and September 2019.  

The Liberty Choir, set up in 2014, has a vision to reduce reoffending rates by providing high quality singing programmes within prisons. They currently have four community choirs who visit prisons on a regular basis to sing alongside prisoners. This inspirational initiative provides a sense of purpose, access to a supportive social network and long term support once prisoners are released, with many ex-offenders joining their local choir upon release. 

 A quick glance at the testimonials on The Liberty Choir’s website show the choir has been a lifeline to many and so much more than just singing. It has been the helping hand to lift them from the vicious cycle of repeat offending. 

 The choir is looking to expand their work and hope to benefit as many people as possible. They are currently looking for musicians with a passion for social justice to join their team. For more information or to consider whether you could be the next person to join this life-changing venture visit their website at libertychoir.org or find them on social media @libertychoiruk 

London's hidden homelessness

Homeless london.jpg

London photographer, Anthony Dawton, has spent 18 months highlighting how the homeless have coped during the COVID-19 pandemic. He says the conditions in which London’s homeless live is worse than refugee camps he has travelled to.

Around 2,600 people are estimated to be sleeping rough on any single night in the UK, according to government figures.

an expensive cycle

One third of prisoners leaving a UK prison have nowhere to live once they are released so it comes as no surprise that approximately 41% of the British homeless population has served time in prison. Some prisoners being released from prison are known to re-commit crime to prevent themselves from being homeless. According to the Ministry of Justice national statistics the current overall reoffending rate is 26%, costing £18.1 billion annually. That’s an awful lot of money!

an example of desperation

Anthony Kemp, aged 59, confesses to a murder he committed 38 years ago (aged 21) to avoid sleeping on the streets. He was later found guilty and sentenced to 15 and a half years in jail.

Whilst you may be thinking you are glad that Mr Kemp has been brought to justice, this situation highlights the level of desperation homeless people experience and the lengths to which they would go to to avoid being homeless.

Cheaper, safe option

So why we are not improving the rehabilitation and aftercare of prisoners to ensure that they can leave prison and not have to re-offend just to have a roof over their head? If this was to be achieved then you could pretty much guarantee that the re-offending rate would decrease along with the annual re-offending cost!

Everyone deserves a warm, safe bed.

To read more about Anthony Kemp please follow: https://www.bbc.co.uk/news/uk-england-london-58912035

Fiona Woodhead is our IT & Social Media Assistant

Prisoner's baby dies in HMP Styal

HMP styal.jpg

31 year old Ms Powell was sentenced to eight months in March 2020 after admitting common assault, racially-aggravated harassment and criminal damage. On her first day at HMP Styal she said there was “no chance“ she could be pregnant. But at about 17:00 BST on 18 June 2020 she went into labour, feeling “extreme pain”. She says her cellmate had made staff aware that she was bleeding, had severe cramps, and had not had a period in several months. The prison officer that was told said she looked about 6 months pregnant, but Ms Powell said she still didn’t have a clue and felt like she was dying. The prison officer contacted the on-site health care team, raising concerns about the pregnancy but it is thought no medical professional went to see Ms Powell. At about 21:00 BST Ms Powell’s cellmate pressed the emergency bell as the baby’s legs came out. It was at this point that a prison nurse arrived and helped in the delivery of the baby.

Unfortunately after having been told she had a baby girl, it became apparent to Ms Powell that her daughter wasn’t ok. It is understood that staff attempted to call for an ambulance but this wasn’t successful due to the prison radio system failing. Ms Powell reports that staff did not try to resuscitate her baby and the ambulance arrived too late to be able to help.

Unjust.jpeg

Whilst it is clear that the causes of this incident are multifactorial, it calls into question what policies need to be put in place to ensure this doesn’t happen again. Healthcare in prisons is clearly lacking the quality that is offered to those who aren’t incarcerated, and you have to ask yourself; would this incident have happened had Ms Powell not been imprisoned? Would she instead have received the healthcare she needed? Would her child still be alive today?

Prison is the punishment for her crime. Losing her baby due to insufficient healthcare should not have been an additional punishment. That loss she experienced is unjust and a failure of our criminal justice system.

The Life Series: IPP

Imprisonment of any duration has a significant impact on a detainee's wellbeing. And whilst incarceration per se is near universal around the world, length of sentencing varies massively. For example, except for whole life orders, a life sentence in the United Kingdom (UK) is typically twenty-five years with the potential for reduction; in the United States of America (USA) though, receiving a determinate life sentence means dying in prison.

In this new series we will be discussing various issues associated with long-term including life-long incarceration. We will cover physical wellbeing, psychological consequences especially within the context of solitary confinement, indeterminate sentencing, and the thorny issue of 'life means life' sentences.

Leading gently into that theme, this first article looks at indeterminate sentencing within the UK…

What are IPP sentences?

A former tool of the UK's criminal justice system, the sentence of Imprisonment for Public Protection (IPP) was implemented through the Criminal Justice Act 2003. It was intended for criminals who had committed violent or sexual crimes, posed a threat to society and yet were not deemed to require life sentencing. An individual sentenced to IPP was set a minimum term of imprisonment. Once this term was completed, their case was reviewed by the Parole Board, which decided whether they were safe and ready to return to society. Release was never guaranteed and, even once granted, carried conditions including a license for indefinite recall to prison if further transgressions were committed. Once back in prison, further sentencing was once again indeterminate. 

Problems with IPPs

Stone.jpg

Whilst this may sound like an attractive proposition for dealing with a few prolific recidivists, the problem was that IPPs were too popular with judges. In total, a weighty 8711 IPP sentences were issued, many for low level crimes. Parole boards became over-stretched and many people languished far past their minimum terms with no indications of release dates. These and other problems with IPPs amassed, and eventually the legislation was repealed in 2012.

However, this change was purely prospective. So, despite the abolishment of IPPs, a year ago there were still 1895 IPP prisoners who had never been released and 1357 who had been recalled back to prison.

Thorough research by the Prison Reform Trust reveals the many and varied problems of IPPs:-

  • One individual may face a longer sentence than another for committing the same offence.

  • The psychological burden of an indeterminate sentence leads to despair and a lack of hope that in turn increases the likelihood of mental health problems and increased rates of deliberate self-harm.  

  • Prisoners’ frustration can lead to disruptive behaviours, causing harm to themselves and others.

  • The circumstances under which these prisoners find themselves make it very difficult for them to progress, for example by engaging with educational programs that would be viewed favourably by a Parole Board.

  • It is impossible to predict accurately how someone will behave once released.

  • Family and friends must live with the uncertainty of not knowing when their loved one will be returning to participate in daily family life.

Moving forwards?

It is truly troubling that there are so many IPP prisoners still behind bars.  It could be called unjust and inhumane.  Those outside of the UK often look upon its criminal justice system as a bastion of high standards. However, in this particular case the world should ponder and learn from the legislative disaster that was IPP sentencing.  

We call on those in positions of power to review each individual’s case as a matter of urgency. UK residents can help to bring about this change by writing to our MPs and voicing our concerns. And there is no better time to do this than now as the UK’s Justice Committee has recently launched an inquiry into IPP sentences with the aim of reducing the number of IPP prisoners:-

The large numbers of people being recalled to prison under IPP suggests there is no end in sight to the problems created by this flawed sentence. 

(Sir Robert Neill MP, Chair of the Justice Committee)

Whilst strictly speaking IPP sentences are not life sentences, their perpetual cycling between recall and indeterminate sentencing takes away prisoners’ hope of ever being able to return to normal life. Let’s be honest, they may as well be life sentences. So it’s time to kick them into the long grass once and for all. 

Do join me next time when we’ll be exploring the various health problems associated with long sentences, and also consider how we can work together to bring about change.

Dr Elinor Webb is one of our Health & Justice Fellows

If you have appreciated this article and would like to support our anti-torture & ill-treatment work, we welcome donations towards the Gerry Serrano Centre.